Updated 6 February 2024
Date of assessment 19 March 2024 to 9 April 2024. Durnsford Lodge provides care and support for a maximum of 28 older people, some of whom may be living with a dementia and/or physical frailty. At the time of the assessment, 22 people were living at the service. We looked at 11 quality statements; Safeguarding, Involving people to manage risks, Safe and effective staffing, Medicines, Safe environments, Learning culture, Consent to care and treatment, Shared direction and culture, Capable compassionate and inclusive leaders, Partnership and communities and Governance, management, and sustainability. We found 8 breaches of the legal regulations in relation to safeguarding, safe care and treatment, need for consent, recruitment, staffing, premises and equipment, notifications of other incidents and governance. People were not always protected from the risk of harm. Poor decision making, placed people at an increased risk of harm. People were not always supported to have maximum choice and control of their lives. People’s medicines were not always being stored or disposed of safely. Governance systems were not embedded into practice or not undertaken robustly enough to identify and monitor the quality of the service and effectively drive improvements. We identified some concerns regarding the environment, general maintenance, and upkeep of the service. This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.